Individual
MR. CLINTON DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
712 GARDEN VIEW DR, STONE MOUNTAIN, GA 30083-3540
(804) 909-1228
Mailing address
712 GARDEN VIEW DR, STONE MOUNTAIN, GA 30083-3540
(804) 909-1228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN334088
GA
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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